Individual
DR. DUSTIN DANIEL PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
102 E MAIN AVE, CHEWELAH, WA 99109-8960
(509) 935-8611
(509) 935-6983
Mailing address
PO BOX 107, CHEWELAH, WA 99109-0107
(509) 935-8611
(509) 935-6983
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60016439
WA
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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